Answer :
Final answer:
The CPT® and ICD-10-CM codes for a dilatation and evacuation procedure for termination of a pregnancy due to multiple fetal anomalies would likely be CPT® code 59855 and ICD-10-CM code O31.1X0 or a code from category Q9X-Q99, reflecting congenital malformations.
Explanation:
The CPT® (Current Procedural Terminology) code for this procedure could be varied depending on the specifics, but it is likely to be 59855 (Induced abortion by dilation and evacuation), as this reflects a second trimester abortion procedure performed via dilation and evacuation (D&E). The ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) code identifying the reason for the procedure might be O31.1X0 (Continuing pregnancy after intrauterine death), or perhaps a code from category Q9X-Q99 (Congenital malformations, deformations, and chromosomal abnormalities) if any specific fetal anomalies can be identified.
This clinical description details the step-by-step process of the D&E procedure that was required due to multiple fetal anomalies. This procedure included administration of anesthesia, dilation of the cervix, delivery of the fetus, removal of the placenta, an application of moderate pressure to control bleeding, and finally the administration of medication to aid in clotting, illustrating the complex nature of medical coding when interpreting clinical procedures and indications.
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